Individual
JACQUELINE SUE LENFESTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CNS
Contact information
Practice address
5340 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1470
(574) 204-7803
Mailing address
5340 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1470
(574) 204-7803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704255722
MI
363LF0000X
Family Nurse Practitioner
Primary
71002535A
IN
364SX0200X
Oncology Clinical Nurse Specialist
70000200A
IN
364SX0200X
Oncology Clinical Nurse Specialist
71002535A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200862570
—
IN
Enumeration date
03/21/2007
Last updated
02/03/2026
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